| Calliecoe Counseling Pllc | |
| 
					37 Coburn St Manchester NH 03102-4933  | |
| (603) 703-8909 | |
| Not Available | 
| Full Name | Calliecoe Counseling Pllc | 
|---|---|
| Speciality | Counselor | 
| Location | 37 Coburn St, Manchester, New Hampshire | 
| Authorized Official Name and Position | Jennifer E Yebba (LICENSED MENTAL HEALTH COUNSELOR) | 
| Authorized Official Contact | 6037038909 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Calliecoe Counseling Pllc 37 Coburn St Manchester NH 03102-4933 Ph: (603) 703-8909  | Calliecoe Counseling Pllc 37 Coburn St Manchester NH 03102-4933 Ph: (603) 703-8909  | 
| NPI Number | 1629717855 | 
|---|---|
| Provider Enumeration Date | 06/04/2022 | 
| Last Update Date | 06/04/2022 | 
| Certification Date | 06/04/2022 | 
| Medicare PECOS PAC ID | 3173069952 | 
|---|---|
| Medicare Enrollment ID | O20240729003497 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629717855 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Lucille M Care | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1396264818 PECOS PAC ID: 3476999392 Enrollment ID: I20240313002382  | 
| Provider Name | Jennifer Elizabeth Yebba | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1134404833 PECOS PAC ID: 4082150867 Enrollment ID: I20240729003947  | 
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